Dogs sniff out malaria

BBC World Service (29 October 2018) Researchers in Britain and The Gambia say they have the first evidence that dogs can sniff out malaria, a skill that they say could lead to much quicker diagnosis of the killer disease. The work was done with the charity Medical Detection Dogs.

The dogs were trained to smell the presence of the malaria parasite in infected children by sniffing their clothes. The researchers say that in addition to screening local communities, sniffer dogs may one day be used at airports to detect malaria carriers to help stop cross-border infection.

Smell is one of the chemical senses, the other being taste (see "Taste" page). They are so called because they sense chemicals, and smells are, of course, chemicals. With these senses we sample our environment for information. We are continuously testing the quality of the air we breathe (this will alert us to potential dangers, e.g. smoke) as well as using this sense to inform us of other relevant information, such as the presence of food or another individual. Many dangerous and toxic compounds have a sulphur atom in them (e.g. bacterial decomposition) and we are very sensitive to sulphur (think of rotten eggs or skunks smell, both contain sulphur). This sends a signal to the amgydala, we interpret it as a "bad" smell and this alerts us to possible danger. Often we don't even have to think about it, our response is sub-conscious. We are then primed to act if necessary. The chemicals detected by our sensory systems need to have certain properties. For instance, odour molecules must be small enough to be volatile (less than 300-400 relative molecular mass) so that they can vapourise, reach the nose and then dissolve in the mucus. This tells us that smell, unlike taste, can signal over long distances (an early warning device). We appear to have an innate ability to detect bad, aversive smells. One-day old babies give facial expressions that indicate rejection when given fish or rotten egg odour.
Body odour has a number of functions (see "Smell and mate selection"), one of which is to tell us when to wash. We notice a build up of our body odour, some more quickly than others (!) and we find the smell unpleasant - is this another potential hazard? Well, we need to remove dead skin and grime to prevent a build up of fungi and bacteria that could lead to disease and infection. The bacteria are one of the factors in the production of bad smell.

Memory prompt

But, is our olfactory system doing more than just giving us warnings? Yes, of course. Smell is the backdrop to our every waking moment, it is part of our consciousness and, even in sleep (see Smell and dreams) the sense of smell keeps working. It also serves a recognition function. We all have our own unique smell (some more pleasant than others! - but that's another story, see Smelly you on the "Smell - What & How" page) and can recognise and be recognised by our smell. Smell evokes memory and, to a greater extent than the other senses, evokes the mood and emotion associated with the memory. The brain regions dealing with smell (piriform cortex) and memory (hippocampus) are close together and there is a two way highway of connections between them (see interesting work by Matsunaga's lab on smell memory, the immune system and health). The amygdala is also part of this collection of brain centres, called the limbic system, and sets the the appropriate emotional tone in response to memories.

Chemical signalling

Dogs can distinguish between the smell of T-shirts worn by non-identical twins (they couldn't tell the difference between identical twins - presumably because they smell identical!). Children can distinguish between the smell of their siblings and other children of the same age. Babies recognise their own mothers' smell and mothers recognise their own babies' smell. Emotion can be communicated by smell. Dogs and horses are very sensitive to the smell of fear in humans and recently it has been demonstrated that humans can detect fear. Dr Mujica Parodi used fMRI to show that "fear sweat" (from skydivers) activates the amygdala in other people whereas gym sweat does not. Research has shown that a panel of women can discriminate between armpit swabs taken from people watching "happy" and "sad" films. Men were less good at this. Mum's learn the smell of their own babies and babies learn the smell of their own mothers. The emotions of others, for example fear, contentment, sexuality, may therefore be experienced and communicated by smell. Memory is often associated with smell. Smell and memory are intimately linked - although this phenomenon is not well understood.

We certainly underestimate the importance of smell to our well-being - ask an anosmic (someone who has lost some or all of their sense of smell). There are suggestions that smell can influence mood, memory, emotions, mate choice,

the immune system and the endocrine system (hormones). In fact the sense of smell could be said to be at the mind-body interface working in the background to modulate our response to the outside world.

Antidepressant

A proportion of those who lose their sense of smell become depressed. So you could say that smell acts as an antidepressant. This works both ways. More detail on smell and depression can be found in my page on "Smell and Mood" and I look into new, non-drug treatments for depression in "Therapeutic use of smell".

Smell and flavour

Flavour is SMELL + TASTE, but mainly smell. Without smell food tastes really dull, so does drink. When we are hungry our appetite increases and our sense of smell becomes more acute, we smell things more intensely and this eases off once we've eaten. Those that loose their sense of smell often have difficulty in controlling their weight either eating too much to compensate or not eating at all because they have lost the pleasure in food.

Smell and mate selection

I have always believed that the prime function of smell is mate selection and that this has driven (human) evolution. We like the smell of some people and don't like the smell of others. Our sense of smell is subconsciously identifying the immune system of others. It is our MHC genes (called HLA in humans), part of of our immune system, that confer our own unique body odour and we like the smell of those with very different HLA genes and do NOT like the smell of those with similar HLA genes. The attraction to the smell of those with different HLA alleles encourages outbreeding, increases disease resistance and prevents incest. It is not so much that we actively sniif out our perfect partner more that we are unlikely to end up with someone whose smell we can't stand. The more scientific details about this are given below.

Smell and the pill

A study by Salvatore Caruso found women taking a birth control pill were less sensitive to scents, which may negatively affect their sex drives. Researchers tested the ability of 60 women not taking the pill to detect six smells at various points in their menstrual cycles. Sense of smell was shown to be most sensitive around ovulation, a time when women are most fertile. The subjects were then put on birth control pills and their sense of smell was re-tested. After three months of pill use, the increased sensitivity to smell usually seen during ovulation was absent. This contradicts earlier work carried out by Doty and colleagues who demonstrated fluctuations in smell sensitivity during the menstrual cycle that were not affected by contraceptive pill use.
Changes in olfactory perception were seen in a study by Hummel and colleagues. They tested sensitivity to phenylethyl alcohol, androstenone and nicotine at various phases of the menstrual cycle. They found that it was only the pleasantness of androstenone that changed and sensitivity (to all three compounds) was unaffected. Naturally cycling women in the periovulatory phase were significantly more sensitive to androstenone, androsterone, and musk than women taking oral contraceptives. These findings give support to odour-specific hormonal modulation of olfaction. Renfro and Hoffman tested the sensitivity of women to 6 odours - lemon, peppermint, rose, musk, androstenone and androsterone. They found that naturally cycling women were significantly more sensitive around ovulation to androstenone, androsterone, and musk than women taking oral contraceptives.
Another study has uncovered other relationships between the sense of smell and pill use. Research by Thornhill and colleagues, showed that women taking oral contraceptives had no significant preference for the smell of males with symmetrical features vs. asymmetrical features. Symmetry in features is a measure of attractiveness and genetic fitness. Women not taking the pill preferred the smell of males with symmetrical features during their most fertile time. Pill use can also decrease sex drive in some women. However, it should be said that sex drive and choosing a mate are very complex issues that involve many physical and psychological variables.

So it seems that oral contraceptive use does affect smell and may alter sensitivity to factors that have bearing on partner choice, sex and relationships.